Basic content (the following is for reference only, content rich, complete can be!)
I. Introduction
The accident occurred at the time, location, accident unit, accident type, nature of the accident and casualties and direct economic losses, such as the basic situation of the accident is outlined;
Second, the accident unit profile:
The accident unit was established, the registered address, the nature of ownership, affiliation, scope of operation, licensing, labor organization and engineering (
The accident unit was established at the time of the registered address, the nature of ownership, affiliation, business scope, license, labor organization and engineering (construction), etc. (Mining enterprises should also include the recoverable reserves, production capacity, mining methods, ventilation methods and the main hazards, etc.).
Third, the accident, rescue and emergency action
(a) the accident
accident process, the main violation of the facts, the consequences of the accident.
(ii) accident report, rescue, search and rescue and government emergency action
Fourth, the cause and nature of the accident
(a) the cause of the accident: 1. direct cause; 2. indirect cause.
(ii) the nature of the accident
V. Responsibility and treatment recommendations The basic situation of those responsible for the accident (name, position, competent work, etc.), the facts of responsibility, the legal basis for accountability and treatment recommendations, and in the following order:
(a) referred to the judicial organs;
(b) to give the party disciplinary and administrative disciplinary action or financial penalties of;
(C) the proposed punishment of the accident unit.
Sixth, corrective measures and recommendations
Mainly from the technical and management aspects of the relevant departments and accident units to put forward corrective measures and recommendations, and the company's relevant departments in the development of systems, procedures and other recommendations. Seven investigation report annexes:
(a) the accident caused casualties and direct economic losses in the basic situation
1, casualties in the basic situation: name, gender, ethnicity, age, work unit, home address, identity card number, type of work, age, age of the work, the work of this type of seniority, literacy level, job title, the injury site, the degree of injury, safety training and education and personal qualifications The situation (safety production qualification certificate, special operators induction certificate, etc.).
2, direct economic losses: personal injury and death of the expenses: medical costs (including nursing costs), funeral and pension costs and relief costs, rest wages. Aftermath treatment costs: dealing with the cost of affairs of the accident, the scene of the rescue costs, clean up the scene costs, accident fines and compensation costs.
The value of property losses: the value of fixed asset losses, the value of current asset losses.
(ii) on-site investigation, technical appraisal and physical evidence, witness materials
1, on-site investigation records, accident scene equipment, operating environment conditions;
2, take photos of the relevant traces and objects (audio and video data), drawing the relevant premises of the schematic diagram (accident map), etc.;
3, qualified departments issued by the technical appraisal conclusions and Test reports;
4, accident-related physical evidence, witness materials and the accident responsible for the self-reporting materials;
5, the accident occurred when the process conditions, operation and design information;
6, the accident-related circulars, briefings and documents;
7, other matters that need to be set out and the accident-related situations.
(C) regulations and organizational systems
1, the relevant rules and regulations and implementation; design process technology and other information;
2, the accident unit production safety assurance system and organizational structure;
3, the accident victim or perpetrator of the accident past accident records and pre-accident health status.
(D) casualty identification certificate
1, the medical department of the casualty's diagnosis (death certificate or discharge certificate);
2, the public security department death notification (or forensic identification);
3, the Ministry of Labor and Social Security Department (certificate of disability identification);
4, aftercare agreement with the notary certificate. Part II: Accident Incident Investigation Report Format Accident Incident Investigation Report Format
First, the name of the enterprise
Second, the nature of the enterprise
Third, the basic situation of the accident incident:
1, the unit of the accident incident:
2, the time of the accident incident;
3, the place of the accident incident;
4, Accident category;
5, the accident severity level;
6, the basic situation of the injury: (name, gender, age, type of work, age, the age of the work, the work of the type of work, the degree of injury, what kind of education, place of origin);
4, the basic situation at the scene;
5, the accident event after the rescue;
1, the accident event;
1. p>
2, the accident incident rescue process;
Six, the cause of the accident:
1,
2,
1, the direct cause;
2, the indirect cause;
VII, the accident incident economic loss:
1, the direct economic losses;
2, indirect economic losses;
VIII. Nature of the accident: (responsible accident, non-responsible accident);
IX. Determination of responsibility for the accident and recommendations for the treatment of the responsible person; According to the provisions of Article ______ of the "_______ Laws, regulations, rules, norms, systems, measures, agreements, manuals and so on", it is recommended to deal with the _______ units or individuals. (primary responsibility, secondary responsibility, joint and several responsibility, exemption from responsibility
etc.); 1,
2,
X. Measures to rectify the accident and prevent the recurrence of similar accidents: 1,
2,
? Investigation team leader (signature): Accident incident unit official seal: Accident incident unit responsible person (signature): Date of filling out the report: January 12, Attachments
件：1、Accident incident occurred in the place or location of the drawings (accident profile); 2、Accident interrogation transcripts. Part III: accident investigation report
report format and model on the body shop line fire accident investigation report
First, the basic situation of the accident
Yantai Ruifeng machinery limited company is
2, economic type: limited liability company national economic industry: machinery manufacturing
3, affiliation: xx
Accident occurs when Time: x time x minutes on x years x months x days
4, the place of the incident: x x plant
5, the type of incident:
6, the cause of the incident: x years x months x days x minutes x x x unit maintenance xxx in the plant, unauthorized enterprises, resulting in
xxx fell to the ground seriously injured.
7, the accident severity level: serious injury
8, casualties:
9, the accident loss of working days total: 2500
10, the accident economic loss: 50,000 yuan of which: the direct economic loss: 30,000 yuan
Second, the accident in detail
Third, the cause of the accident analysis
(a) direct causes:
(b) indirect causes:
Fourth, the treatment of those responsible for the accident
1, x x x, x x Limited, chairman of the board of directors, did not effectively fulfill the supervision and management responsibilities, the occurrence of this accident is responsible for the main leadership, it is recommended that it be given a fine of x million yuan.
2, x x x, x x limited company manager, did not effectively fulfill the supervision and management of production safety responsibilities, the accident is responsible for the important leadership, it is recommended that it be given a fine of x million yuan.
3, x x x, x x Ltd. structural workshop director, failed to effectively fulfill the production safety supervision and management responsibilities, it is recommended to give him a fine of x thousand dollars.
4, x x Limited, safety management is not in place, safety management system, safety operating procedures are not sound, the safety management of the team is chaotic, the lack of safety education for employees, resulting in this accident, it is recommended that x x Limited be given x thousand yuan fine.
5, the other responsible persons, by the enterprise in accordance with their responsibilities to be dealt with separately.
V. Measures to prevent the recurrence of accidents
1, x x Ltd. to seriously study the laws and regulations on production safety, to strengthen the company's production management, the establishment of a sound production safety management system, safety regulations, equipped with safety management personnel to meet the needs of safety work, and to consolidate the safety foundation work, improve the level of safety management.
2, x x Ltd., to strengthen the workshop, team safety construction and safety management, clear responsibility, strengthen the safety education of all employees, improve the safety awareness of all employees and the level of safety knowledge.
3, x x Ltd, to seriously absorb the blood lessons of this accident, learn from one to three, in the whole company to carry out a company-wide check thinking, check the system, check the system, check the management, check the hidden dangers, check the measures, grasp the corrective action, anti-violation activities, to prevent the kind of accidents from occurring again. Improve the awareness of production safety and safety regulations at all levels of personnel, improve the systems and measures to prevent the occurrence of kinds of accidents. Part IV: xx company?xx.xx?
Safety Incident Investigation Report
xx company?xx.xx?Safety Incident Investigation Report I: Accident Overview
Accident Unit: ** Company xx workshop (or department) Accident Time: 20xx year xx month xx week x (xx: xx about) Accident Location: xx workshop xx
Position
Cause:
Type of accident:
Cause of accident:
Severity level of accident:
Total number of working days lost in the accident:
Casualties:
Type of work:
Second, accidental damage
Total loss: xx million Yuan
① Personnel loss:
Total loss: xx million Yuan
Total loss: xx million Yuan
Total loss: xx million Yuan
Total loss: xx million Yuan
① personnel casualty expenses: including medical costs (including nursing costs), funeral expenses and pension costs, subsidies and relief costs, such as wages;
② post-processing costs: including the handling of the accident business costs, on-site salvage costs, cleaning up the scene costs, the cost of reimbursement of accident fines;
③ the value of the property damage: including the value of fixed assets and the value of liquid assets lost. Current assets loss value.
(2) Indirect economic loss (million): xx million yuan ① the value of production stoppage, production loss: ② the value of loss of work:
③ the value of loss of source:
④ the cost of environmental pollution control: ⑤ the cost of additional training of new employees: ⑥ other losses:
Third, the accident briefly
The accident investigation team must find out what happened in the accident. The accident investigation team must identify the accident, the accident should include the following:
(1) before the accident, the production and operation status of the accident unit;
(2) the specific time and location of the accident;
(3) the status of the scene of the accident and the protection of the scene of the accident;
(4) the emergency response measures taken after the occurrence of the accident;
(5) Reporting of the accident;
(6) Rescue and rescue;
(7) Post-accident treatment;
(8) Other circumstances related to the accident.
Fourth, the cause of the accident analysis and the nature of the accident (a detailed analysis of the cause of the accident, the part of the report for the core part)
(1) the direct cause of the accident
The direct cause refers to the causes that directly lead to the accident. It can be divided into three categories: ① unsafe state of things. It is caused by poor equipment, also known as the unsafe state of things. The so-called unsafe state of things is to make the accident can occur unsafe object conditions or material conditions.
② environmental causes. Refers to the poor environment caused by. ③ Human causes. It refers to the accident caused by human unsafe behavior. The so-called human unsafe behavior refers to the violation of safety rules and principles of safe operation, so that accidents are likely or have the opportunity to occur.
(2) Indirect causes of accidents Indirect causes refer to the reasons for the emergence and existence of indirect causes. Including technology, design reasons and management reasons. Indirect causes are mainly:
① technical reasons. Including: the main device, machinery, building design, building inspection and maintenance after completion of the technical aspects of imperfections, machinery and equipment layout, plant floor, indoor lighting and ventilation, design and maintenance of machinery and tools, hazardous areas of protective equipment and alarm equipment, maintenance and equipment, such as the existence of technical deficiencies in the maintenance of protective gear. ② Causes of education. Including: Insufficient knowledge and experience related to safety, ignorance of the dangers of the work process and its safe operation methods, lack of understanding by belittling, insufficient training, bad habits and inexperience. ③ Physical causes. Including: physical defects or fatigue due to lack of sleep, drunkenness, etc. ④ Mental causes. Including bad attitudes such as idleness, defiance, and dissatisfaction, mental conditions such as anxiety, nervousness, terror, and discord, and character defects such as parochialism and stubbornness. ⑤ Management reasons. Including: the main leaders of the enterprise on the safety of the responsibility is not strong, operating standards are not clear, the lack of inspection and maintenance system, labor organization is unreasonable.
(3) The main reason for the accident
Combined the above reasons, the accident investigation team believes that the nature of the accident is a xxxx accident
V. Summarize the lessons of the accident
Accident units should seriously summarize the lessons of the accident, mainly in the safety of the production management, safety input, safety production conditions and other aspects of the existence of those weak links, loopholes and hidden trouble, to seriously find the root cause against the problem:
1, the accident unit should learn the lessons;
2, the accident unit should learn the lessons of the main person in charge;
3, the accident unit of the relevant supervisory personnel and the relevant departments should learn the lessons;
4, the practitioners should learn the lessons;
Six, Accident prevention and rectification measures Accident prevention and rectification measures are based on the accident investigation and analysis of the accident unit in the production of safety weaknesses, loopholes, hidden dangers and so on.
VII, the accident responsibility and the views of the responsible person to deal with the accident investigation and analysis, the nature of the accident has a clear conclusion. Which is recognized as a natural accident or non-responsible accidents can not be held responsible for the accident, recognized as a responsible accident, according to the size of the responsibility and the responsibility for the different respectively identified the following accident responsibility, to determine the main responsibility for the accident is the principle of the main cause of the accident to determine the main responsibility for the accident.
1, directly responsible for: refers to its behavior and the occurrence of accidents have a direct causal relationship. Such as unauthorized operators.
2, the main responsible person: refers to the accident is mainly responsible for the occurrence of personnel. Such as unauthorized commanders.
3, the leader of the responsible: refers to the occurrence of accidents bear the responsibility of the leadership of the personnel. Such as supervisors of the relevant departments. The treatment of those responsible for the accident, including administrative sanctions, disciplinary action or civil liability. Directly responsible person is the person whose behavior has a direct causal relationship with the occurrence of the accident, the behavior is manifested as:
(1) unauthorized command or unauthorized operation, risky operation;
(2) violation of the system of responsibility for safety, violation of labor discipline, negligence;
(3) unauthorized operation of machinery and equipment, unauthorized changes, removal, destruction, misappropriation of safety devices and equipment, facilities. Leader is the person whose behavior is responsible for the occurrence of accidents, the behavior of the following: (1) not in accordance with the provisions of the safety education and technical training of employees, or without the examination of special types of work on duty operation;
(2) lack of safety and technical operating procedures or inadequate;
(3) equipment in serious disrepair or overloaded operation;
(4) ) Lack of or no safety measures and lack of or defective safety signals, safety signs, safety gear, and personal protective equipment;
(5) Lack of inspection or incorrect instruction of work on site. The main responsible person is the person who has the main responsibility for the occurrence of the accident among the directly responsible person and the leading responsible person.
VIII, other attachments Part V: Investigation report on the incident of xx Investigation report on the incident of xx **** **Month ** at **, received ** unit on the ** outbreak of the telephone report (** Center Laboratory found ** outbreak), ** CDC on **Month ** at ** time to send a professional team, including rheumatoid, laboratory, elimination of the personnel went to the scene, with the aim of is 。。。。。。。。 The investigation is reported as follows:
I. Occurrence, discovery and reporting of the outbreak **** **Month ** day ** time, the reporting unit found that the ** outbreak occurred, on **Month ** day ** time to report to the CDC agency, the CDC agency **Month ** day ** time to respond to the plan, sent a professional team, **Month ** ** time to initially verify the incident occurred, **Month ** time to Completion of the network direct report.
Second, case definition
1, suspected cases 2, clinical cases 3, confirmed cases
Third, epidemiological investigation
1, the general introduction of the event site
2, the active search for cases and the investigation of the first case (pointer case investigation) 3, the three distribution of the cases a, incidence curves
b, Location (class) distribution c, gender, age, occupation d, clinical symptoms and specialization
4, epidemiological etiological investigation
Fourth, laboratory sampling and testing should be as detailed as possible to describe the sampling time, sample storing vessels, preservation conditions, the number of samples, the total number of samples, etc., to be sent to the test items, ** month ** ** central laboratory test results 。。。。。
V. Assumptions or preliminary conclusions (conclusion analysis)
1, according to. , the preliminary judgment that the incident is a respiratory transmission of infectious disease outbreak, the scope of the wave (including the number of people, geographical scope), the number of patients, the number of deaths.
2, the current epidemic is in the period of rising morbidity (peak, decline), to be through the control of sources of infection (cutting off transmission routes, control of susceptible populations) based on prevention and control strategies.
Six, take measures
1, the event of a timely intervention of a unit to intervene in the disposal, the epidemic reported in a timely manner 2, according to the classification of the incident, the start of the response to the x level of the plan 3, the incident **** investigated x people, of which y people received treatment, z people under medical observation, **** disposed of the (y + z) people x, y, z three figures of the meaning of the number of the wave of the number of the population and the number of people who suffered from the disease 4, Proposed disinfection of classrooms, dormitories and other places of about xx ㎡ by fumigation with peroxyacetic acid and other methods 5. Publicity and education
VII. Next Steps or Suggestions/Incident Evaluation and Lessons Learned
1. Causes of the disease: Epidemiological causes of the disease and aetiology of the cause of the disease 2. Control effects 3. Costs
3. Lessons Learned/limitations
Signed by **Unit, Time<
VIII. Appendices;
1, case list: including serial number, name, gender, age, class or address, date of onset, main clinical symptoms, treatment options (no treatment, buy drugs, clinic, hospital treatment), special return (cured or improved, death), special return time, remarks (such as severe cases)
2, list of close contacts: including serial number, Name, gender, age, class or address, the implementation of medical observation time, the end of medical observation time, whether the appearance of similar symptoms, the appearance of similar symptoms time, the implementation of medical observation unit or person in charge of
3, on-site disposal team composition: flow of disease, laboratory, elimination of 4, on-site preparation of materials: xx incident on-site investigation of the work program
Preamble: **** ** year At ** time on ** day **, received ** unit on ** epidemic telephone report (** central laboratory found ** epidemic), ** CDC on ** day ** time ** sent a professional team, including the flow of disease, laboratory, extermination and other personnel
to the scene, the preparation of the investigation program is as follows:
I. Establishment of the definition of the case
1 suspected cases:
2 clinical diagnosis:
1 suspected cases:
2 Clinically diagnosed cases 3 Confirmed cases
II. Conduct a case search to determine the first case or find pointer cases
1. Case search: a list of cases is proposed to be investigated by means of a list of cases, telephone interviews + direct interviews, and the investigation will be carried out from x month x to x day.